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NPI Code Detail

MEDICARE: KATY BIRTH CENTER

MEDICARE: KATY BIRTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QB0400XBirthing Clinic/Center150011TX

General Provider Information

NPI Number : 1316242670
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATY BIRTH CENTER
Provider Business Mailing Address
First Line : 1002 AVENUE A
Second Line :
City : KATY
State : TX
Zip : 77493-2462
Country : US
Telephone Number : 832-437-5867
Fax Number : 281-391-9081
Provider Business Practice Location Address
First Line : 1002 AVENUE A
Second Line :
City : KATY
State : TX
Zip : 77493-2462
Country : US
Telephone Number : 832-437-5867
Fax Number : 281-391-9081
Authorized Official
Title or Position : ADMINISTRATIVE DIRECTOR
Name : MRS. CATHY SUE RUDE
Credential : CPM, LM
Telephone Number : 281-635-2847
Provider Enumeration Date : 01/18/2011
Last Update Date : 01/18/2011

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Directions to “KATY BIRTH CENTER ” Practice Location

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